Kolaczewski, Gayleen

Kolaczewski, Gayleen is an sole proprietor health care provider with primary practice located at 265 N Main St , Munroe Falls OH 44262. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Kolaczewski, Gayleen can be contacted via phone (330) 686-3038.

Contact Information

Primary practice address
265 N Main St Munroe Falls OH 44262
Fax: (330) 686-2530
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35049229 Ohio
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 35049229 Ohio

Profile Details

NPI number 1497841845
LBN Legal business name Kolaczewski, Gayleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2006
Last updated Dec 12th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497841845 NPPES
Ohio MEDICAID 0640953

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